Oncofusion

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Proteinstrong confidence 4 of 5: Replicated in peer-reviewed work by more than one group.Q5b-interactome

WDR5 — the partner that is not a partner: it binds the half of KMT2A the fusion throws away

also called WDR5 · WD repeat-containing protein 5 · BIG-3 · WRAD component

WDR5 is always drawn in pictures of the KMT2A complex, and there are sixty structures of it. But it grips a piece of KMT2A near the far end of the protein — a piece that every fusion deletes — and KMT2A-rearranged leukemia cells actually need WDR5 less than other leukemia cells do.

The same thing, for a scientist

WDR5 (P61964, 334 aa) is the WD40 hub of the WRAD module that activates KMT2A SET-domain methyltransferase activity. It engages KMT2A through the WDR5-interaction (WIN) motif at approximately residues 3762-3773, with Arg3765 inserting into the WDR5 pocket. That motif lies in the KMT2A C-terminus, which KMT2A fusions delete. Consistent with this, WDR5 is the single worst-scoring entry in our lineage-controlled selectivity ranking: +0.191, meaning KMT2A-rearranged lines are depleted *less* than other leukemia lines, while WDR5 is simultaneously DepMap common-essential with a mean Chronos of -1.159. It has the largest chemical-matter footprint of the MLL-complex proteins (1,662 potent ChEMBL rows, best IC50 1 nM). The conclusion this node argues is that WDR5 is a wild-type-KMT2A target, not a KMT2A-fusion target.

KMT2A drawn end to end, with the parts the fusion keeps and the parts it throws away. WDR5 binds in the thrown-away part.
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KMT2A is 3,969 residues. The WIN motif that WDR5 grips is at about 3762-3773, with Arg3765 in the WDR5 pocket (PDB 3EG6, 3EMH, 3P4F).

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Breakpoints cluster in the intron 9 to intron 11 region, so the fusion retains the N-terminal contacts (MBM1, CXXC, the LEDGF segment) and loses everything from the PHD fingers onward.

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Every WDR5 and WRAD structure with KMT2A models residues 3754 or later - the last 5% of the protein.

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DepMap agrees: the requirement for WDR5 gets weaker, not stronger, as the context becomes more KMT2A-fusion-specific (-1.242 in leukemia, -1.051 in KMT2A-rearranged, -0.868 in KMT2A::AFF1).

What it looks like
loading AF-P61964-F1…
AlphaFold AF-P61964-F1 ↗
colourshape

This is a prediction, not a measurement. No one has seen this protein in this shape. The colours say how much the software trusts itself, and that is worth reading before anything else — the orange stretches are places the model is effectively saying this part has no fixed shape.

very high (90+)confident (70–90)low (50–70)very low (<50)
I have never read one of these pictures before

A protein is one long chain of amino acids that folds up. The ribbon traces that chain from one end to the other; it is not a wire, it is a simplification of where the backbone runs. Drag to rotate, scroll to zoom.

Domains are the stretches of chain that do a particular job, and they are what the coloured blocks above the picture mark out. Click one and the view flies to it. In this project the important question about any domain is usually whether the fusion still has it — the labels say lost where it does not.

Anything in yellow sticks is a bound small molecule, which is usually the drug.

Go deeper
Scope correction: WRAD is wild-type KMT2A, not the fusion

Scope correction (coordinator, 2026-09-18). This entry is filed in the KMT2A::AFF1 interactome. The primary complex-purification paper says the opposite for WRAD: "Oncogenic mutant forms of MLL retain an ability to interact with menin but not other identified complex components" — the identified components being ASH2L, WDR5, RBBP5, HCF-1 and HCF-2 [E_yokoyama2004].

The reason is positional. WRAD engages KMT2A near the SET domain, at the extreme C-terminus, which lies far beyond the breakpoint cluster region (exons 8-13, roughly residues 1100-1400) and is therefore absent from every fusion protein. The same applies to HCF-1/HCF-2 (aa 1799-1802), CyP33 at PHD3, and CBP at the TAD (2829-2883).

So WRAD membership is a property of wild-type KMT2A, not of the fusion. That does not make this entry worthless — wild-type KMT2A biology matters here, the remaining wild-type allele is retained in patients, and WRAD is where the H3K4 methyltransferase question lives. But any claim that this protein is part of the fusion's interactome needs a primary source showing WRAD on a fusion, and none was found.

This also reframes what the field's most-cited menin paper actually shows. It is read as evidence for menin. It is equally a statement about everything else, and that asymmetry is the strongest available argument that menin is the only handle on the retained fragment rather than the best of several.

Narrowing that correction: discarded from the fusion, required in trans

The scope correction above was right but over-applied, and is narrowed here (coordinator, 2026-09-18).

What Yokoyama 2004 licenses is precisely this: WRAD does not stably co-purify with fusion MLL under the detergent conditions of a 2004 affinity purification. It does not license the stronger reading this coordinator propagated — that the wild-type KMT2A literature describes a protein the leukemia does not make, and can therefore be set aside. Three results say otherwise, and all three were verified directly:

1. The wild-type allele is required. Menin recruits both wild-type MLL and the MLL-AF9 fusion to HOX loci, and "the wild-type Mll allele is required for MLL-AF9-induced leukemogenesis and maintenance of MLL-AF9-transformed cells" [E_thiel]. Every patient keeps an intact allele.

2. The fusion depends on the wild-type complex in trans. The essential MLL1 recruitment domain spans CXXC and the PHD fingers; "MLL1 fusion proteins lack the PHD fingers and require prebinding of a wild-type MLL1 complex ... for stable HoxA9 association" [E_milne]. So a module deleted from the fusion can still be load-bearing for the fusion — supplied in trans by the other allele.

3. This interface already has a selective compound. MM-401 blocks the MLL1-WDR5 interaction and "blocks proliferation of MLL cells ... without general toxicity to normal bone marrow cells or non-MLL cells" [E_cao]. An interface absent from the fusion nonetheless yields MLL-selective pharmacology.

The enumeration's two-category scheme is therefore incomplete. Retained and discarded are not exhaustive; there is a third category — discarded from the fusion, required in trans through the intact allele. This entry belongs in it. The positional claim stands; the strategic inference drawn from it does not.

Unresolved and recorded as such: MM-401 works by blocking MLL1 methyltransferase activity, while MLL1 SET activity is reported dispensable for MLL-AF9 leukemogenesis (PMID 24813891). Both are in this graph and they do not sit comfortably together.

Correction: MM-401 is not proof that an absent interface is druggable

The section above used MM-401 to argue that an interface absent from the fusion nonetheless yields MLL-selective pharmacology, and treated that as support for targeting wild-type-only modules. That argument does not survive the WIN-site literature, and the coordinator verified both papers directly.

The group that developed small-molecule WIN-site inhibitors states the position plainly: "Peptidomimetic WINi were originally proposed to inhibit MLLr cells via dysregulation of genes connected to hematopoietic stem cell expansion. Our discovery and interrogation of small-molecule WINi, however, revealed that they act in MLLr cell lines to suppress ribosome protein gene transcription, induce nucleolar stress, and activate p53" [E_howard]. The earlier work had already shown WIN-site inhibitors displace WDR5 from a small cohort of loci including a specific subset of ribosome protein genes, causing translational inhibition, nucleolar stress and p53 induction [E_aho].

So the selectivity for MLL-rearranged cells may not run through MLL1 biology at all. If it runs through ribosome depletion and p53, then:

  • MM-401 is not evidence that disrupting a wild-type-only MLL1 interface is a viable strategy against the fusion, and this graph should stop presenting it that way;
  • the mechanism predicts failure in TP53-mutant disease, which is exactly the relapsed setting where a new agent would be used;
  • and it is a genuinely different and possibly better idea — a ribosome-directed therapy — that happens to have been found through a chromatin protein.

What survives from the original point is narrower and still worth keeping: the wild-type allele is genetically required for MLL-AF9 leukemogenesis and maintenance, and the fusion requires a prebound wild-type complex at its target loci. That case now rests on genetics alone, not on a compound.

The structural argument is decisive and it is not subtle1 deeper

Every KMT2A residue range that appears in a WDR5 or WRAD structure is in the C-terminal region 1:

PDBKMT2A residues modelledWhat else is in itResolution
3EG63762-3773 (WIN motif)WDR5 23-3341.72 Å
3EMH3764-3776WDR5 25-3341.37 Å
3P4F3761-3770WDR5 22-334 + RBBP5 371-3812.35 Å
6KIU3754-3969WDR5 + RBBP5 + ASH2L + ub-nucleosome3.20 Å
6PWV3762-3969full MLL1 core complex + nucleosome6.20 Å
7W673813-3969RBBP5 330-356 + ASH2L2.19 Å

KMT2A is 3,969 residues long. Every one of these contacts is in the last 5% of the protein. The WIN motif arginine that occupies the WDR5 pocket is Arg3765 2.

KMT2A::AFF1 retains the KMT2A N-terminus — AT-hooks, CXXC, the menin-binding motif — and loses the PHD fingers, the bromodomain, FYRN/FYRC and the SET domain, because the breakpoints cluster in the intron 9 to intron 11 region 3. Residue 3765 is not in the fusion protein. WDR5 therefore cannot be engaged by KMT2A::AFF1 through the WIN motif, and no structure of WDR5 with any KMT2A fusion protein exists.

The dependency data agree, which is the part that should change behaviour
value
mean Chronos, 1,258 lines-1.159
DepMap common-essentialyes
all leukemia lines-1.242
10 KMT2A-rearranged lines-1.051
4 KMT2A::AFF1 lines-0.868
selectivity vs leukemia+0.191 (rank 41 of 41, worst)
gnomAD pLI / LOEUFno constraint record; mis_z 4.80

The gradient runs the wrong way and it runs monotonically: all lines -1.159, leukemia -1.242, KMT2A-rearranged -1.051, KMT2A::AFF1 -0.868 4. The more KMT2A-fusion-specific the context, the less WDR5 is required. That is precisely the pattern predicted by a partner whose binding site the fusion has deleted, and it is the largest effect of its kind in the ranking.

This is not a claim that WDR5 inhibitors do not kill KMT2A-rearranged cells. At -1.051 they clearly do. It is a claim about therapeutic index: a common-essential gene with a mean Chronos of -1.159 and no selectivity for the disease is a structural problem, not a chemistry problem, and better molecules will not fix it.

One oddity to record: gnomAD returned no constraint record for WDR5 in this query, so pLI and LOEUF are unavailable. The missense Z-score of 4.80 is available and is high. The absent record is a database gap and should not be read as absence of constraint.

Why WDR5 nonetheless has more chemical matter than anything else here1 deeper

ChEMBL target CHEMBL1075317 carries 1,662 activity rows at pChEMBL ≥ 6 with a best IC50 of 1 nM (CHEMBL1082290) — the largest set among the KMT2A-complex proteins and second overall in this beat only to BRD4's 11,268 rows. No clinical candidate has a curated mechanism against it 5.

The reason for that investment is a genuinely excellent pocket. The WIN site is a deep, narrow, arginine-binding channel in the middle of a WD40 donut — one of the most tractable peptide-displacement targets in chromatin biology, which is why so many groups attacked it. The structural coverage is correspondingly enormous: WDR5 with histone H3K4me peptides in 2CO0, 2CNX, 2H13, 2H6K, 2H6N, 2H6Q, 2H9M, 2H9N, 2H9P, 2O9K, 3PSL, plus WIN-motif complexes with KMT2B (3UVK, 1.40 Å) and SETD1A (3UVN 1.79 Å, 4EWR 1.50 Å) 1.

So WDR5 is the clearest example in this dossier of chemistry being the easy part. Sixty structures, 1,662 potent data points and a 1 nM compound, aimed at an interface the target disease has deleted. The transferable lesson for the project is to check, for every candidate partner, which residues of KMT2A the interaction uses before committing, and to weight the lineage-controlled dependency score over the absolute one.

Where WDR5 might still be relevant, stated fairly

Three caveats against writing WDR5 off entirely.

Wild-type KMT2A still matters in these cells. The remaining wild-type KMT2A allele is intact and carries the WIN motif, and KMT2A itself scores -0.810 in KMT2A-rearranged lines (rank 2 on selectivity). If the wild-type allele contributes to the leukemic programme, WDR5 inhibition would still hit that contribution — just not the fusion.

WDR5 has WIN-independent functions. It binds MYC and participates in complexes beyond WRAD, and much of the 1,662-row chemical effort is directed at the MYC-binding site rather than the WIN site. A MYC-directed WDR5 inhibitor is a different target from a WIN-directed one and this node's argument does not apply to it.

Breakpoint dependence. Which KMT2A residues survive depends on the break. The common intron 9-11 breakpoints remove residue 3765 comfortably, but the KMT2A recombinome is large and heterogeneous 3, and a claim of universality would be overreaching.

Facts and figures
uniprotP61964
gene symbolWDR5
length AA334
protein nameWD repeat-containing protein 5
alphafold IDAF-P61964-F1
alphafold verifiedtrue
PDB verified against rcsbtrue
n PDB entries for uniprot60
verdictwild-type-KMT2A target, not a KMT2A-fusion target. Common-essential, anti-selective, and its KMT2A binding site is deleted by the fusion. Excellent chemistry aimed at an interface the disease does not have.
subnuclear localizationno nuclear-body observation; the chromatin address is WIN-site-dependent and narrow, centred on ribosome protein genes, and its inhibition produces nucleolar stress
shown for fusionNO for the centrosome and midbody, which are wild-type MLL dosage experiments. The WIN-site mechanism-of-action work IS in MLL-rearranged cells and finds ribosome attrition and p53-MDM4 activation rather than a fusion-complex effect.
PDB IDS
[
  "3EG6",
  "3EMH",
  "3P4F",
  "3UVK",
  "3UVN",
  "4EWR",
  "6KIU",
  "6KIV",
  "6KIX",
  "6KIZ",
  "6PWV",
  "6PWW",
  "6W5I",
  "6W5M",
  "6W5N",
  "7MBM",
  "7MBN",
  "7UD5",
  "8DU4",
  "2CO0",
  "2CNX",
  "2H13",
  "2H6K",
  "2H6N",
  "2H6Q",
  "2H9M",
  "2H9N",
  "2H9P",
  "2O9K",
  "3PSL",
  "2G99",
  "2G9A",
  "4CY2",
  "4O45"
]
kmt2a binding site
{
  "motif": "WDR5-interaction (WIN) motif",
  "kmt2a_residues": "approximately 3762-3773",
  "key_residue": "KMT2A Arg3765",
  "retained_in_kmt2a_fusions": false,
  "reason": "breakpoints cluster in the KMT2A intron 9-11 region, so residue 3765 lies well beyond the fusion junction"
}
essentiality
{
  "depmap_common_essential": true,
  "chronos_mean": -1.159,
  "n_lines": 1258,
  "fraction_lines_depleted": 0.926,
  "chronos_mean_leukemia": -1.242,
  "chronos_mean_kmt2ar": -1.051,
  "chronos_mean_kmt2a_aff1": -0.868,
  "selectivity_vs_leukemia": 0.191,
  "selectivity_vs_all_lines": 0.108,
  "rank_in_interactome": 41,
  "rank_note": "worst of 41; KMT2A-rearranged lines need WDR5 LESS than other leukemia lines do, monotonically across four nested contexts",
  "gnomad_pLI": null,
  "gnomad_loeuf": null,
  "gnomad_constraint_note": "gnomAD returned no constraint record for WDR5 in this query; this is a database gap, not absence of constraint",
  "gnomad_mis_z": 4.8,
  "mouse_ko": "not established in this node; no verified citation obtained this cycle",
  "hpa_rna_tissue_specificity": "Low tissue specificity",
  "hpa_rna_tissue_distribution": "Detected in all",
  "hpa_rna_blood_cell_specificity": "Low immune cell specificity"
}
chemical matter
{
  "chembl_target": "CHEMBL1075317",
  "chembl_pref_name": "WD repeat-containing protein 5",
  "n_activity_rows_pchembl_ge_6": 1662,
  "best_activity": {
    "molecule": "CHEMBL1082290",
    "type": "IC50",
    "value": 1,
    "unit": "nM",
    "assay_type": "B"
  },
  "curated_mechanism_drugs": [],
  "note": "largest chemical-matter footprint of the KMT2A-complex proteins; the sampled page was entirely MLL1 WIN-motif peptides and FP tracers, and the rows do not separate WIN-site from MYC-site binders"
}
interfaces
[
  "interface-wdr5-kmt2a-win-lost-in-fusion"
]
localization
{
  "subcellular": "nucleus (UniProt P61964, ECO:0000269 from PMID 17355966, 20018852, 34850113) PLUS two addresses UniProt does not record: the PERICENTRIOLAR MATERIAL of the centrosome, where MLL/WDR5 bind Cep72 and gamma-TuRC components and are needed for gamma-TuRC and AKAP9 recruitment (PMID 39661677), and the MIDBODY, where MLL/WDR5 target the kinesin-13 depolymerase KIF2C (PMID 40958680). Loss gives defective spindles, misaligned chromosomes, chromosome bridges and binucleation, and the centrosomal phenotype is reproduced in Wiedemann-Steiner syndrome patient-derived cells.",
  "subnuclear": "no nuclear-body observation. The chromatin address is WIN-site-dependent and narrow - a small cohort of loci including ribosome protein genes - and WIN-site inhibition produces nucleolar stress and p53 induction (PMID 30865883), with ribosome subunit attrition and p53-MDM4 activation dominating the response of MLL-rearranged cells (PMID 38682900).",
  "how_shown": "immunofluorescence to pericentriolar material and midbody, microtubule regrowth assays, co-IP with Cep72 and gamma-TuRC, knockdown/knockout mitotic phenotyping, patient-derived cells, picomolar WIN-site chemical probe with a chromatin-displacement readout",
  "systems": "human cell lines and Wiedemann-Steiner syndrome patient cells (wild-type MLL dosage, not a fusion); MLL-rearranged cancer lines for the WIN-site work",
  "independence_caveat": "the centrosome and midbody results come from a single laboratory and have not been independently replicated",
  "node": "localization-wdr5-kmt2a-centrosome-and-midbody"
}
cell type
{
  "evidence_class_key": "concept-expressed-required-maintains-three-evidence-classes",
  "expressed_in": {
    "class": 1,
    "summary": "ubiquitous"
  },
  "required_in": {
    "class": 2,
    "floor_compressed": true,
    "pct_all_lines_depleted": 98.3,
    "all_1258_lines_mean_gene_effect": -1.161,
    "kmt2a_rearranged_lines_mean_gene_effect": -1.08,
    "myeloid_kmt2ar_mean": -1.066,
    "blineage_kmt2ar_mean": -1.104,
    "verdict": "PAN-ESSENTIAL. Depleted below -0.5 in 98.3% of all 1,258 screened lines, and the KMT2A-rearranged arm is marginally LESS dependent than the average line (+0.081). DepMap can say nothing whatever about which cell type WDR5 matters in, because it matters in all of them, and the floor leaves no dynamic range in which selectivity could appear.",
    "the_only_cell-type-specific_requirement_found": "pharmacological disruption of the Wdr5-MLL interaction is selectively active in C/EBP-alpha N-terminal mutant leukaemia (PMID 26167872) - a different genotype from KMT2A rearrangement, and a claim about an INTERACTION rather than about the gene"
  },
  "context": "the pan-essentiality is wild-type-protein housekeeping; the selective claim is an interface claim in a non-KMT2A genotype",
  "graph_links": [
    "cell-type-gmp",
    "cell-type-monocyte"
  ]
}
cell state
{
  "maintains": {
    "class": 3,
    "states": [
      "cell-state-differentiation-block",
      "cell-state-stem-like-self-renewal"
    ],
    "claim": "In CEBPA p30-driven murine AML models (32D cells and primary murine AML), WDR5 is REQUIRED to maintain the myeloid differentiation block and the increased self-renewal that C/EBP-alpha p30 produces: inducible Wdr5 knockdown restores myeloid surface-marker expression and terminal granulocytic maturation, and the small-molecule Wdr5-MLL antagonist OICR-9429 reproduces it.",
    "pmids": [
      "26167872"
    ],
    "rule_80_note": "THIS ENTRY'S ABSENCE CLAIM WAS FALSIFIED BY OPENING THE PAPER. The bounded query returned 4 records and a title-only check scored them all off-topic or peripheral. The full text of 26167872 (PMC4511833, 72,114 characters, opened 2026-09-20) has a results section headed 'The p30-mediated differentiation block is Wdr5-dependent', 9 occurrences of self-renewal and 4 of differentiation block. WDR5 does have a cell-state function on record - it is simply not in KMT2A-rearranged disease.",
    "system_named_in_the_claim": "murine CEBPA p30 AML (32D cells and primary murine models). NOT KMT2A-rearranged, NOT human, NOT B-lineage (brief rule 73).",
    "rule_66_datum_from_the_same_paper": "the paper tests MLL1, MLL2, MLL3 and 'MLL4/Wbp7'. Wbp7 is a synonym of KMT2B, so 'MLL4' in this paper means KMT2B and not KMT2D. Only Mll1 knockdown, and to a lesser extent Mll3, phenocopied Wdr5 loss."
  },
  "bounded_query": {
    "date": "2026-09-20",
    "tool": "NCBI esearch db=pubmed",
    "query": "(WDR5[tiab] OR \"BIG-3\"[tiab] OR \"BIG3\"[tiab]) AND <cell-state clause> AND <leukaemia clause>",
    "count": 4,
    "on_topic_after_title_check": 0,
    "controls": {
      "gene_clause_alone": 701,
      "state_clause_alone": 96743
    },
    "the_four": [
      "41565645 - WDR5 remodels NANOG condensates to sustain stem cell identity (embryonic stem cells, not haematopoietic)",
      "40361241 - a KMT2A-rearrangement review",
      "28379447 - WDR5 in PORCINE preimplantation embryos",
      "26167872 - Wdr5-MLL interaction in C/EBP-alpha N-terminal leukaemia (the one on-topic record)"
    ],
    "complex_form_control_rule_64": "(\"WRAD\" OR \"COMPASS complex\" OR \"MLL complex\" OR \"SET1/MLL\") AND <cell-state clause> returns 17, of which the haematopoietic ones are about DPY30 and about menin, not about WDR5",
    "reading": "WDR5 has never been placed in a defined cell state in KMT2A-REARRANGED disease. It HAS been placed in a differentiation-block and self-renewal state in CEBPA p30 AML, and the title check missed it - see the rule-80 note. The narrow claim survives; the broad one did not.",
    "on_topic_after_opening_full_texts": 1
  },
  "full_texts_opened": [
    "26167872 (PMC4511833) - differentiation-block result confirmed present, absence withdrawn"
  ]
}
depmap kmt2a selectivity
{
  "chronos_mean_kmt2a_rearranged": -1.08,
  "chronos_mean_other_leukaemia": -1.2784,
  "difference": 0.1984,
  "pan_essentiality_all_lines": -1.159,
  "selectivity_rank": 17587,
  "rank_denominator": 17728,
  "provenance": "Joined 2026-09-21 from analyses/depmap-kmt2a-selective-scan-full (generated 2026-09-19T10:12:06Z), the project's own genome-wide scan over 11 KMT2A-rearranged and 43 other leukaemia DepMap lines. NOT re-fetched and NOT independent of that scan: every caveat it carries applies here, including that the KMT2A-rearranged arm is a small number of lines drawn from nine individuals, that the rank denominator is 17,728 genes, and that a difference is not a dependency. Added because only 26 of 308 gene entries carried this number, which made any KMT2A-selectivity question answerable for 8% of the corpus.",
  "how_to_read": "A negative difference means MORE required in KMT2A-rearranged lines than in other leukaemia lines. A rank near 17,728 is ANTI-selective. Neither is evidence of a fusion-driven dependency on its own: check pan_essentiality_all_lines before calling anything selective, and note that a paralogue-redundant gene can score near zero for reasons that have nothing to do with this disease - see ana-the-paralogue-redundancy-excuse-is-not-tested-and-my-proxy-decided-the-answer."
}
How this could bite us back
  • Essential-function toxicity is the headline risk: WDR5 is DepMap common-essential with a mean Chronos of -1.159 and 92.6% of lines depleted. There is no therapeutic window to optimise into.
  • The interface being targeted is absent from the disease protein. A WIN-site inhibitor in KMT2A-rearranged leukemia is acting on wild-type KMT2A, KMT2B, SETD1A and other WIN-motif proteins, not on the fusion.
  • Excellent chemistry is a trap here, not an asset: 1,662 potent data points and a 1 nM compound make the target look de-risked when the structural and dependency logic both say it is mis-specified for this disease.
  • WDR5 is a hub in multiple complexes (WRAD, NSL/KANSL, MYC). Inhibiting it perturbs all of them, and the sampled chemical matter does not distinguish which site a given compound occupies.
  • If the project cites WDR5 as a validated KMT2A-complex target in a grant or a paper without the residue mapping, a reviewer who checks 3EG6 will find residue 3765 and the argument collapses. This node exists so that does not happen.
Still open
  1. Does WDR5 inhibition act in KMT2A-rearranged cells through the remaining wild-type KMT2A allele? KMT2A itself is the second-most selective dependency in the ranking, so wild-type KMT2A function may matter in these cells and WDR5 inhibition would hit that rather than the fusion. Comparing a WIN-site inhibitor in KMT2A-wild-type-allele-deleted versus intact KMT2A-rearranged cells would separate the two.
  2. Is the anti-selectivity a real biological signal or an artefact of the 10-line sample? The monotonic gradient across four nested contexts argues it is real, but a leave-one-out test has not been run.
  3. Do any KMT2A breakpoints retain enough C-terminal sequence to preserve the WIN motif? Across 107 in-frame fusions in the recombinome catalogue this should be checkable, and if any do, they would define a subgroup for which WDR5 genuinely is a fusion partner.
  4. Does the MYC-binding site on WDR5, as opposed to the WIN site, have any KMT2A-rearrangement-selective relevance? Much of the 1,662-row chemical effort is aimed there and this node's argument does not cover it.
  5. Why is there no gnomAD constraint record for WDR5? A 334-residue gene with mis_z 4.80 should have one, and the gap should be resolved before any tolerability argument is built on constraint data.
Every source behind this entry (11)
  1. E1established confidence 5 of 5: Multiple independent lines of evidence; treated as settled in the field.database

    Every structure of WDR5 or the WRAD module with KMT2A models only C-terminal KMT2A residues: 3EG6 (WIN motif, KMT2A 3762-3773, 1.72 A), 3EMH (3764-3776, 1.37 A), 3P4F (3761-3770 with RBBP5 371-381, 2.35 A), 6KIU (3754-3969 with WDR5, RBBP5, ASH2L and a ubiquitinated nucleosome, 3.20 A), 6PWV (3762-3969, full core complex on the nucleosome, 6.20 A) and 7W67 (3813-3969 with RBBP5 330-356 and ASH2L, 2.19 A). WDR5 also has WIN-motif complexes with KMT2B (3UVK, 1.40 A) and SETD1A (3UVN 1.79 A, 4EWR 1.50 A) and numerous histone H3K4me peptide complexes. No structure of WDR5 with any KMT2A fusion protein exists.

    What this evidence cannot show

    Residue ranges are the modelled or deposited construct ranges as RCSB annotates them against UniProt Q03164, not independently curated motif boundaries. Absence of a WDR5-fusion structure is absence of evidence, and could reflect that nobody has attempted it rather than that no interaction exists - although the residue mapping supplies a mechanistic reason.

    Evidence that argues against this (1)
    • Every structure modelling only C-terminal KMT2A residues is the decisive fact for a fusion dossier: the WIN motif at 3762-3776 is LOST in every KMT2A fusion, since breaks cluster between intron 7 and exon 13. The structures describe an interaction the oncoprotein cannot make. Leukemia 2023
  2. E2established confidence 5 of 5: Multiple independent lines of evidence; treated as settled in the field.paper

    The 1.7 A crystal structure of WDR5 bound to the MLL1/KMT2A WDR5-interaction (WIN) motif peptide identifies Arg-3765 of MLL1 as the arginine occupying the WDR5 pocket, and shows the WIN peptide is preferentially recognised over histone H3.

    Structure of WDR5 bound to mixed lineage leukemia protein-1 peptide · Patel A, Dharmarajan V, Cosgrove MS · Journal of Biological Chemistry 2008
    What this evidence cannot show

    Thermodynamic binding measurements were performed in this work but no numeric Kd appears in the abstract, so no affinity is attributed here. The structure is an isolated peptide with an isolated domain.

    Evidence that argues against this (1)
    • Arg-3765 occupying the WDR5 pocket is wild-type KMT2A biology. The fusion retains the N-terminus, so a WIN-motif inhibitor acts on the remaining wild-type allele rather than on the oncoprotein — which may still be therapeutic, and is a different mechanism from the one the entry implies. Cell Reports 2014
  3. E3established confidence 5 of 5: Multiple independent lines of evidence; treated as settled in the field.paper

    The KMT2A recombinome comprises genomic breakpoints within KMT2A across 3,401 patients and 107 in-frame KMT2A fusions, establishing that breakpoints cluster in the 5' region of the gene and that fusion proteins retain the KMT2A N-terminus while losing C-terminal domains.

    The KMT2A recombinome of acute leukemias in 2023. · Meyer C, Larghero P, Almeida Lopes B, et al. · Leukemia 2023
    What this evidence cannot show

    The abstract does not state a residue count for what fusions retain, so the specific claim that the WIN motif at residue 3765 is excluded is our inference from the breakpoint architecture plus the residue mapping in E1 and E2, not a statement in this paper. Breakpoint heterogeneity is substantial and a universal claim would be overreaching; the argument applies to the common intron 9-11 breakpoints.

    Evidence that argues against this (1)
    • The recombinome is cited here for what the fusion retains, and this graph's own audit finds it supporting 75 items across 69 entries in 14 beats, graded at four different confidence levels. Its breakpoint percentages are also detection-limited, since a census counts the rearrangements the contributing laboratories could characterise. Oncofusion knowledge graph (internal analysis) 2026
  4. E4strong confidence 4 of 5: Replicated in peer-reviewed work by more than one group.database

    WDR5 is DepMap common-essential with a mean Chronos gene effect of -1.159 across 1,258 cell lines, yet is depleted less in KMT2A-rearranged lines (-1.051) and less again in KMT2A::AFF1 lines (-0.868) than in leukemia lines generally (-1.242), giving a lineage-controlled selectivity of +0.191 - the worst of 41 candidate partners. gnomAD returned no pLI or LOEUF record for WDR5 in this query; its missense Z-score is 4.80.

    What this evidence cannot show

    Means were computed by us from per-line API values, not read from a DepMap release table, and the release version is not stated by the API. Only 10 KMT2A-rearranged lines (4 KMT2A::AFF1) contribute, so +0.191 carries wide uncertainty; the claim is strengthened by being monotonic across four nested contexts rather than by the point estimate alone. The absent gnomAD record is a database gap and must not be read as absence of constraint.

    Evidence that argues against this (1)
    • WDR5 remains a deep dependency in absolute terms in KMT2A-rearranged lines (-1.051), so WDR5 inhibitors do kill these cells. The argument here is about therapeutic index and about which KMT2A residues the interaction uses, not about activity. Broad Institute DepMap; Open Targets Platform 2026
  5. E5strong confidence 4 of 5: Replicated in peer-reviewed work by more than one group.database

    ChEMBL v34 target CHEMBL1075317 (WD repeat-containing protein 5) carries 1,662 activity rows at pChEMBL >= 6 with a best IC50 of 1 nM (CHEMBL1082290), the largest chemical-matter footprint among the KMT2A-complex proteins, and has no clinical candidate with a curated mechanism of action.

    What this evidence cannot show

    The sampled page of 25 rows was entirely MLL1 WIN-motif peptides and fluorescence-polarisation tracers rather than small molecules, so the best IC50 of 1 nM may belong to a peptide, and the small-molecule chemotypes sit in the roughly 1,637 unsampled rows. The rows do not distinguish WIN-site from MYC-site binders, and much of the WDR5 medicinal-chemistry effort is directed at the MYC-binding site, to which this node's argument does not apply.

    Evidence that argues against this (1)
    • A ChEMBL activity-row count measures how much medicinal chemistry has been DONE, not how tractable the target is, and the best reported affinity belongs to the most optimised compound in whichever series someone chose to pursue. Zero rows means nobody tried; thousands of rows means a target had a decade of industrial attention. 1,662 rows is the largest footprint in this interactome and reflects that WDR5 became a fashionable target through MYC rather than through KMT2A. A 1 nM IC50 against a WIN-site binder also acts at a site the fusion has lost. Leukemia 2023
  6. E_yokoyama2004strong confidence 4 of 5: Replicated in peer-reviewed work by more than one group.paper

    Biochemical purification of MLL identified a SET1-like complex containing ASH2L, WDR5, RBBP5, HCF-1, HCF-2 and menin. Oncogenic mutant (fusion) forms of MLL retain the ability to interact with menin but not the other identified complex components.

    Leukemia proto-oncoprotein MLL forms a SET1-like histone methyltransferase complex with menin to regulate Hox gene expression · Yokoyama A, Wang Z, Wysocka J, Sanyal M, Aufiero DJ, Kitabayashi I, Herr W, Cleary ML · Molecular and Cellular Biology 24:5639-49 2004
    What this evidence cannot show

    Read as abstract only by the coordinator; the interactome beat reports reading the full text via PMC480881. 2004 affinity-purification mass spectrometry, at depths well below current practice, so a negative here is a failure to detect rather than a demonstration of absence. No proximity-labelling study of any KMT2A fusion has ever been published, so this negative has never been re-tested with a method capable of catching transient or substoichiometric contacts. **The founding negative is an inference from a deletion mutant, not a measured fusion co-immunoprecipitation.** Read in full 2026-09-20: WRAD subunits were mapped using a C-terminal deletion construct of otherwise wild-type MLL in 293 cells. The paper's only fusion experiments blot for HIS, MLL-C, HCF-1, menin, MLL-N and ENL — **no WRAD subunit is blotted on any fusion anywhere in it**. It is a measured negative for HCF-1 only.

    Evidence that argues against this (4)
    • A 2004 co-purification negative is weak evidence of non-interaction. Modern proximity labelling routinely recovers contacts that affinity purification misses, particularly transient ones, and the entire composition literature for this fusion rests on stable-complex purifications from 2004-2012. The claim here should be read as 'not detected as a stable complex member', not 'does not interact'. Yokoyama A et al. 2004
    • CORRECTED 2026-09-21 (cycle 44), and the previous version of this note was too strong. It said "zero published experiments test WRAD-versus-KMT2A-fusion association in either direction" and cited PMID 15199122 for that - a 2004 paper, which cannot establish an absence as of today, in a note whose own next sentence warned against citing that paper for more than it shows. Re-bounded by query today: the subunit-by-fusion co-occurrence search is NOT empty (WDR5 26 records, ASH2L 6, DPY30 3, RBBP5 2), and reading all 26 WDR5 titles returns two that genuinely bear on the question. PMID 27462455 shows MLL1 and MLL-AF9 occupy DISTINCT chromatin regions and attributes MLL1's enhancer recruitment to a C-terminal WDR5 interaction - hedged as "probably" by its own authors - which is an experiment discriminating wild-type from fusion with WDR5 as the proposed discriminator. PMID 36402263 shows genetic Wdr5 deletion attenuates MLL-AF9 leukemogenesis, acting through ribosomal genes rather than through fusion binding. THE SURVIVING ABSENCE IS NARROWER AND STILL WORTH STATING: no direct binding assay - co-IP, structure or proximity labelling - has tested whether WRAD associates with a KMT2A FUSION protein. The two experiments above are genomic occupancy and genetic requirement, neither of which is a binding measurement. The structural argument for exclusion is unchanged, because the WRAD contacts sit thousands of residues past the breakpoint. What this graph must not do is cite a 2004 deletion-mutant result as if it were a fusion co-IP negative. PubMed (bounded query, counts and date recorded) 2026
    • The nearest thing to a published test, and it cuts against the absence being total: MLL1 and MLL-AF9 occupy distinct chromatin regions, and the authors attribute MLL1's enhancer recruitment to a C-terminal WDR5 interaction that the fusion lacks. It is an occupancy experiment, not a binding assay, and the WDR5 attribution is hedged in the source. Xu J et al. 2016
    • And a functional requirement in the fusion context: genetic Wdr5 deletion attenuates MLL-AF9 leukemogenesis in vivo. That WDR5 is REQUIRED where the fusion drives disease does not show WRAD binds the fusion - the reported mechanism is ribosomal gene regulation - but it makes 'WRAD is irrelevant to the fusion' untenable. Liu L et al. 2023
  7. E_thielstrong confidence 4 of 5: Replicated in peer-reviewed work by more than one group.paper

    Menin recruits both wild-type MLL and the oncogenic MLL-AF9 fusion protein to HOX gene loci to activate transcription, and the wild-type Mll allele is required for MLL-AF9-induced leukemogenesis and for maintenance of MLL-AF9-transformed cells.

    MLL-AF9-induced leukemogenesis requires coexpression of the wild-type Mll allele · Thiel AT, Blessington P, Zou T, Feather D, Wu X, Yan J, Zhang H, Liu Z, Ernst P, Koretzky GA, Hua X · Cancer Cell 17:148-59 2010
    What this evidence cannot show

    Read as abstract only. Mouse genetics with a retroviral MLL-AF9 model; the requirement is shown for MLL-AF9, not for KMT2A::AFF1, and this graph has repeatedly found partner-specific differences. 'Required' here is allele-level and does not identify which wild-type MLL module carries the requirement.

    Evidence that argues against this (1)
    • A wild-type-allele requirement shown for MLL-AF9 in mouse need not hold for KMT2A::AFF1 in infant B-ALL, and this project has already been burned generalising across partners. The claim should be carried as strong for MLL-AF9 and untested for the fusion this project is about. Thiel AT et al. 2010
  8. E_milnestrong confidence 4 of 5: Replicated in peer-reviewed work by more than one group.paper

    The essential MLL1 recruitment domain includes both the CXXC domain and the PHD fingers and is controlled by interactions with the PAF elongation complex and H3K4me2/3. MLL1 fusion proteins lack the PHD fingers and require prebinding of a wild-type MLL1 complex, together with CXXC recognition of DNA, for stable HoxA9 association.

    Multiple interactions recruit MLL1 and MLL1 fusion proteins to the HOXA9 locus in leukemogenesis · Milne TA, Kim J, Wang GG, Stadler SC, Basrur V, Whitcomb SJ, Wang Z, Ruthenburg AJ, Elenitoba-Johnson KSJ, Roeder RG, Allis CD · Molecular Cell 38:853-63 2010
    What this evidence cannot show

    Read as abstract only. Establishes a trans requirement at HoxA9 specifically; whether it generalises to the whole fusion target set is not addressed in the abstract. The authors themselves frame the distinct recruitment mechanisms as a therapeutic opportunity rather than an obstacle.

    Evidence that argues against this (1)
    • If the fusion needs the wild-type complex prebound, then wild-type MLL1 recruitment is a potential target — but it is also a normal function in every cell that expresses MLL1, so the therapeutic window argument that applies to menin does not automatically transfer here. Milne TA et al. 2010
  9. E_caostrong confidence 4 of 5: Replicated in peer-reviewed work by more than one group.paper

    MM-401 inhibits MLL1 activity by blocking the MLL1-WDR5 interaction and preventing complex assembly, without affecting other MLL-family methyltransferases, and specifically blocks proliferation of MLL cells by inducing cell-cycle arrest, apoptosis and myeloid differentiation without general toxicity to normal bone marrow cells or non-MLL cells.

    Targeting MLL1 H3K4 methyltransferase activity in mixed-lineage leukemia · Cao F, Townsend EC, Karatas H, Xu J, Li L, Lee S, Liu L, Chen Y, et al. (Dou Y, senior author) · Molecular Cell 53:247-61 2014
    What this evidence cannot show

    Read as abstract only. A peptidomimetic tool compound characterised in cells; no clinical or in vivo efficacy is claimed in the abstract, and 'MLL cells' spans MLL-rearranged lines generally rather than KMT2A::AFF1 specifically. SUPERSEDED IN PART (2026-09-19): MM-401's stated mechanism is inhibition of MLL1 methyltransferase activity, but WIN-site inhibition in MLL-rearranged cells is reported to act through ribosome protein gene suppression and p53 activation (PMIDs 30865883, 38682900). This citation should no longer be used as evidence that a wild-type-only MLL1 interface is druggable through MLL1 biology.

    Evidence that argues against this (1)
    • MM-401's stated mechanism is inhibition of MLL1 H3K4 methyltransferase activity, yet the MLL1 SET domain is reported dispensable for maintaining HSCs and for MLL-AF9-driven leukemogenesis (Mishra 2014, PMID 24813891), which this graph also carries. Either the selectivity of MM-401 runs through something other than catalysis, or the two results are in tension. The graph should hold both rather than choose. Mishra BP et al. 2014
  10. E_ahostrong confidence 4 of 5: Replicated in peer-reviewed work by more than one group.paper

    Potent WIN-site inhibitors show that the WIN site links WDR5 to chromatin at a small cohort of loci including a specific subset of ribosome protein genes; the inhibitors rapidly displace WDR5 from chromatin and decrease expression of those genes, causing translational inhibition, nucleolar stress and p53 induction.

    Displacement of WDR5 from Chromatin by a WIN Site Inhibitor with Picomolar Affinity · Aho ER, Wang J, Gogliotti RD, Howard GC, Phan J, Acharya P, et al. (Tansey WP, senior author) · Cell Reports 26:2916-2928.e13 2019
    What this evidence cannot show

    Read as abstract only. Establishes the mechanism of small-molecule WIN-site inhibitors across cancer contexts; it is not specific to KMT2A::AFF1 and does not directly test the peptidomimetic MM-401.

    Evidence that argues against this (1)
    • MM-401 and the small-molecule WIN-site inhibitors are different chemotypes, and this paper does not test MM-401. It remains formally possible that the peptidomimetic acts differently. But the burden has shifted: the mechanism cannot now be assumed to be MLL1-programme disruption without direct evidence, and this graph previously assumed exactly that. Howard GC et al. 2024
  11. E_howardstrong confidence 4 of 5: Replicated in peer-reviewed work by more than one group.paper

    In MLL-rearranged cancer cells, WDR5 WIN-site inhibition acts by suppressing ribosome protein gene transcription, inducing nucleolar stress and activating p53, with depletion of the ribosome stock, a broad modest translational choke, and alternative-splicing changes that inactivate the p53 antagonist MDM4. The authors state that peptidomimetic WIN-site inhibitors were originally proposed to act via genes connected to haematopoietic stem cell expansion, and that their data show otherwise. WIN-site inhibitors are synergistic with venetoclax and BET-bromodomain inhibitors.

    Ribosome subunit attrition and activation of the p53-MDM4 axis dominate the response of MLL-rearranged cancer cells to WDR5 WIN site inhibition · Howard GC, Wang J, Rose KL, Jones C, Patel P, Tsui T, et al. (Tansey WP, senior author) · eLife 12:e90683 2024
    What this evidence cannot show

    Read as abstract only. Cell-line work in MLL-rearranged lines; the p53 dependence is inferred from the mechanism rather than demonstrated across TP53-mutant and wild-type isogenic pairs in the abstract. Does not address KMT2A::AFF1 infant B-ALL specifically.

    Evidence that argues against this (1)
    • A p53/ribosome mechanism does not make WIN-site inhibition useless in MLL-rearranged leukaemia - the same paper reports synergy with venetoclax and BET inhibitors, and a ribosome-directed strategy is novel in its own right. What it removes is the specific inference this graph drew: that MM-401 demonstrates an absent-from-the-fusion interface can be drugged through MLL1 biology. Howard GC et al. 2024
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